Deck 9: Administration by the Parenteral Route

Question 1

Subcutaneous

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Answer 1

Absorbed through the skin via a patch or ointment preparation applied to the skin

Question 2

Transcutaneous

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Answer 2

Absorbed through the skin via a patch or ointment preparation applied to the skin

Question 3

Subcutaneous

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Answer 3

Injected beneath the skin into the fatty tissue layer

Question 4

Eye medications

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 5

Sublingual

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 6

Topical

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 7

Topical

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 8

Inhalation therapy:

A)Effects are limited to a particular area of the body
B)Medications that are inhaled
C)Injecting a small amount of medication into the skin's dermal layer called a "wheal"
D)Injected deep into large muscles
E)Any route other than via the gastrointestinal tract

Question 9

Systemic

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 10

Intradermal

A)Effects are limited to a particular area of the body
B)Medications that are inhaled
C)Injecting a small amount of medication into the skin's dermal layer called a "wheal"
D)Injected deep into large muscles
E)Any route other than via the gastrointestinal tract

Question 11

Intramuscular

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 12

Intramuscular

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 13

Buccal

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 14

Ear medications

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 15

Local

A)Effects are limited to a particular area of the body
B)Medications that are inhaled
C)Injecting a small amount of medication into the skin's dermal layer called a "wheal"
D)Injected deep into large muscles
E)Any route other than via the gastrointestinal tract

Question 16

Transcutaneous

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 17

IV

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 18

Inhalation

A)Absorbed through the skin via a patch or ointment preparation applied to the skin
B)Effects of a medication that are observed throughout the body
C)Injected beneath the skin into the fatty tissue layer
D)Applied directly to the skin to treat skin conditions, not for systemic absorption
E)Injected deep into a muscle

Question 19

Intramuscular

A)Effects are limited to a particular area of the body
B)Medications that are inhaled
C)Injecting a small amount of medication into the skin's dermal layer called a "wheal"
D)Injected deep into large muscles
E)Any route other than via the gastrointestinal tract

Question 20

Parenteral

A)Effects are limited to a particular area of the body
B)Medications that are inhaled
C)Injecting a small amount of medication into the skin's dermal layer called a "wheal"
D)Injected deep into large muscles
E)Any route other than via the gastrointestinal tract

Question 21

Front of the thigh toward the outside of the leg

A)Vastus lateralis
B)Deltoid
C)Z-Track
D)Transdermal
E)Ventrogluteal

Question 22

A possible complication of using inhaled steroids is __________.

A) oral fungal infection
B) bronchospasm
C) allergic reaction
D) chest pain

Question 23

A disadvantage of sublingual and buccal administration is __________.

A) medications absorbed in this way are unaffected by the stomach, intestines, or liver
B) medications may have a bitter taste
C) absorption via this route is quite rapid
D) this method has relative ease of administration

Question 24

Upper outer arm above the axilla

A)Vastus lateralis
B)Deltoid
C)Z-Track
D)Transdermal
E)Ventrogluteal

Question 25

A DPI may be advantageous for use in __________.

A) children
B) cold environments
C) patients who have problems with timing when using the inhaler
D) All of the above.

Question 26

Instructions to a patient using an MDI should include __________.

A) Sit upright or stand
B) Exhale slowly through pursed lips after holding your breath for at least 5-10 seconds
C) Exhale slowly and completely prior to inhaling the medication
D) All of the above.

Question 27

A disadvantage of using a DPI might be _________.

A) cold environment
B) because it is not appropriate for use in children
C) because of difficulty in administering due to timing for elderly patients
D) because few medications are available in this form

Question 28

Injection method especially recommended for drugs irritating to tissues

A)Vastus lateralis
B)Deltoid
C)Z-Track
D)Transdermal
E)Ventrogluteal

Question 29

Which option describes sublingual administration?

A) Chewing a tablet until medication is released and absorbed
B) Swallowing the medication
C) Placing the medication beneath the tongue for absorption
D) Placing the medication in the pouch between the cheek and the gum at the back of the mouth

Question 30

Route with rapid systemic effect combined with strong local effect:

A)Vastus lateralis
B)Deltoid
C)Z-Track
D)Transdermal
E)Ventrogluteal

Question 31

Identify the conditions most often treated with a transcutaneous delivery system.

A) Acute angina, motion sickness, systemic allergic reaction
B) Prevention of angina, acute pain, motion sickness
C) Prevention of angina, motion sickness, chronic pain
D) Acute pain, acute angina, motion sickness

Question 32

Which of the following is a characteristic of buccal medication administration?

A) Follow the administration by immediately drinking a full glass of water.
B) Swallow the medication.
C) Used less commonly than the sublingual route.
D) Place the medication under the tongue.

Question 33

Above, outside of the buttock area, on the hip

A)Vastus lateralis
B)Deltoid
C)Z-Track
D)Transdermal
E)Ventrogluteal

Question 34

What adaptation might be necessary for effective use of a metered-dose inhaler?

A) Extension tubing
B) External canister of gas
C) Spacer
D) All of the above.

Question 35

Which patient comment following education for taking sublingual or buccal medications indicates a need for further education?

A) I will hold the tablet in place with my mouth closed until the medications is absorbed.
B) I can have a drink of water immediately after taking my pill.
C) I will not swallow the medication.
D) I will not eat until the medication has completely dissolved.

Question 36

Which is NOT an advantage of inhalation therapy?

A) Rapid onset of action
B) Does not require patient's cooperation
C) Potent drugs may be given in small amounts
D) Means of delivery comfortable and convenient for the patient

Question 37

Nitroglycerin ointment application requires what special handling and for what reason?

A) The use of a ruler to prevent an accidental overdose, or inadequate dose, to the patient
B) The use of gloves will prevent the health care provider from suffering a headache.
C) Rotating the area to which it is applied to prevent local irritation
D) All of the above.

Question 38

Which of the following are ALL used specifically for systemic effects?

A) Sublingual, intramuscular, topical, inhalation
B) Buccal, transcutaneous, eye, subcutaneous
C) Sublingual, buccal, subcutaneous, intramuscular
D) Ear, transcutaneous, sublingual, inhalation

Question 39

When administering both an inhaled steroid and a bronchodilator, which answer is most appropriate?

A) Inhale the steroid first, then the bronchodilator.
B) Mix the medications and inhale them at the same time.
C) Stagger the doses at least an hour apart.
D) Inhale the bronchodilator first, then the steroid.

Question 40

Which statement is TRUE regarding inhalation therapy?

A) IPPB must be delivered by trained personnel.
B) An MDI is to be delivered only by a respiratory therapist.
C) A nurse usually delivers medications by small-volume aerosol nebulizer.
D) Patients frequently give their own IPPB treatments as prescribed by their doctor.

Question 41

A larger number gauge for a needle indicates a ____ size.

A) longer needle
B) shorter needle
C) larger lumen
D) smaller lumen

Question 42

Why is site selection particularly important when giving IM injections?

A) Once a particular site has been used, it can never be used again.
B) The needles used are so short that they must be precisely placed.
C) There are more large blood vessels and nerves in deep tissue.
D) It isn't, any large muscle can be safely used for IM injection.

Question 43

What is the route of administration that is most likely to have systemic effects?

A) Transcutaneous
B) Eye
C) Topical skin
D) Mucous membrane

Question 44

What information is used to select the appropriate needle size for an injection?

A) Patient's age
B) Viscosity of fluid to be administered
C) Site of injection
D) All of the above.

Question 45

Which is a correct list of the parts of a syringe?

A) Barrel, bevel, shaft
B) Barrel, plunger, bevel
C) Plunger, tip, hub
D) Barrel, plunger, tip

Question 46

What type of needles may be recapped?

A) Sterile
B) Used
C) Safety
D) All needles

Question 47

Which method of injection is characterized by placing the needle 1½ to 2 inches beneath the skin?

A) Intradermal
B) Intramuscular
C) Subcutaneous
D) Intravenous

Question 48

Patients using hand-held nebulizers can reduce their risk of infection by ____.

A) hyperventilating to ensure full absorption in the lungs
B) including an antibiotic in the nebulizer
C) properly cleaning the nebulizer every day
D) resisting the urge to cough after treatment

Question 49

Why is rotation of the site of administration important with insulin?

A) Irritation and redness may result if the same site is used repeatedly.
B) Irritation, redness, and growth of fatty deposits may result from repeated use of the same site.
C) The body will build up scar tissue and reject the insulin.
D) Bruises and scar tissue will form and the insulin will become ineffective.

Question 50

Metered-dose inhalers deliver the medication via _____.

A) the force of inspiration
B) mechanical pressure
C) pressurized liquid
D) a propellant gas

Question 51

Which of the following routes is typically limited to localized effects?

A) Buccal administration
B) Intravenous administration
C) Transcutaneous administration
D) Topical skin administration

Question 52

A marking on a syringe of U-100 indicates what type of syringe?

A) Insulin
B) Tuberculin
C) Standard
D) Intradermal